Serve as a resource or Subject Matter Expert (SME) for other team members or internal customers Handle escalated calls, resolving more complex customer issues in a one and done manner Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs) Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems Intervene …
Senior Customer Service Representative – Salt Lake City, UT
Senior Clinical Quality RN – HEDIS, Remote in Las Vegas, NV
Perform HEDIS medical record review for physician offices throughout the state of Nevada Complete inter-rater reliability testing and required computer training successfully in order to complete this data collection Conduct additional QI audits through medical record review Educates physicians, RNs and other clinical employees in the latter half of the year
Senior Clinical Quality RN (NCLEX) – San Juan, PR
Develop market business plans to motivate providers and large or complex group leadership to engage in improving Stars measures to be 4 STARS or higher Place outbound calls to members to ascertain information from the patient regarding HEDIS and Quality measures related to their care as well as obtain member information regarding any possible gaps in care Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups Be the primary subject matter expert for …
Senior Clinical Quality Auditor – Remote
Complete treatment record review audits and provide feedback results Implementing audit plan for Behavioral Health Providers at all covered levels of care for treatment of mental health and substance use disorders Initiate and monitor provider corrective action plans (CAPs) as appropriate to improve performance Travel to Utah to conduct on site audits on an occasional basis Develop and present recommendations and alternatives to improve quality and/or outcomes for management and executive review Participate in developing and implementing effective analysis, research …
Senior Clinical Administrative Coordinator – Remote in MST OR PST
Make calls to qualified members to provide information and answer questions about health plan programs. Provide “best – in – class” customer service to enrollees. Meet established productivity, schedule adherence, and quality standards while maintaining good attendance. Identify, qualify, and engage members into the most appropriate health and wellness programs to meet their needs. Effectively engage members that either qualify for our programs or are interested in learning more about what is offered. Accurate documentation of consumer interaction. Appropriately follow …
Senior Building Services Coordinator
Respond to client inquiries and concerns ensuring timely service delivery of excellent customer satisfaction Create and assign work orders to multiple technicians, subcontractors, and/or vendors Effectively communicate work order details with technicians, subcontractors, and/or vendors, and effectively provide up to date reports on work order statuses Experience working within CMMS (Computerized Maintenance Management Systems) Create and maintain files on work orders, proposals, and department records, while validating the accuracy of completed paperwork submitted by vendors Train vendors on work order …
Senior Accounts Receivable Clerk
Follow up of outstanding A/R all payers and/or including self-pay and/or including resolution of denials Ability to research and resolve accounts appearing on Delinquent Insurance Report, Collection Ledger and Government Payor report as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement Oversee workflow of the team to ensure productivity measures are met Meet productivity standards as outlined in client metrics Identify any issues or trends and bring them to the attention of management team …
Salesforce CPQ Developer
Who we are DoubleVerify is a leading software platform for digital media measurement, data and analytics. DV’s mission is to be the definitive source of transparency and data-driven insights into the quality and effectiveness of digital advertising for the world’s largest brands, publishers and digital ad platforms. DV’s technology platform provides advertisers with consistent and unbiased data and analytics that can be used to optimize the quality and return on their digital ad investments. Since 2008, DV has helped hundreds …
Sales Support Rotational Program – Denver, CO
Participate in a 24-month Rotational Program that will provide a structured curriculum and on-the-job sessions that will expose you to broad skills, tools, and functional departments within the Sales & Distribution Organization. Along with training and a core role within the Producer Helpdesk Sales Support organization, you will also experience two, six month rotations fully submerged within a different part of the organization. From this, you will: Gain industry knowledge Enhance communication and presentation skills Review reporting practices and utilize analytical …